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HomeMy WebLinkAboutBUSINESS PLAN 11/30/2006__ _ //, II3OUTAN HOSSEINI, DDS H 2016 E STREET --- -s ---- --- -- UNIFIED PROGRAM INSPECTION CHECKLIST ;, v - r.____ _ __._ ~...__ ~~_~_______..~ --~----~i SECTION 1: Business Plan and Inventory Program 3 Prevention Services B E a s F, D 900 Truxtun Ave., Suite 210 F~eE Bakersfield, CA 93301 ARTM r "Pel.:. (661) 326-3979 Fax: (661) 872-2171 FACILITY.NAM ~ n l ~ ` ~ ~ ~~ .7GG INSPE;~TI07~ DnA~E l/ INSPEC~ON7~TtI,ME ADDRESS 2a t6 ~ S ~- PHON E NO. ~~z `~ ~ ~-aa O OF EMPLOYEES FACILITY CONTACT ~~ }~'d5S ~i1 rJ I BUSINESS ID NUMBER 15-021- ao Z qq l Section 1: Business Plan and Invent©ry Program ~'`" ~ l -- j~ -- R~O~UT~IN~E~ ~ ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENT S ^ APPROPRIATE PERMIT ON HAND ^ BUSIn@SS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~ ~~~ 2 0 2006 ^ CORRECT OCCUPANCY I~ ^ / VERIFICATION OF INVENTORY MATERIALS ~ ^ VERIFICATION OF QUANTITIES ,~ ^ VERIFICATION OF LOCATION jt ~f ^ PROPER SEGREGATION OF MATERIAL ^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES C~ ^ EMERGENCY PROCEDURES ADEQUATE ,~ ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND nor-ou~~ ANY HAZARDOf •U,S WASTE ON_vSITE? YES ^ NO EXPLAIN: W~S~~ ~ (/' ~~ QUESTI/O~NS REGARDING THIS INSPECTION? PLEASE cALL US AT (661) 326-3979 (ijA~+~l Srk~"s ~-~ ~{DU1 `fie4N Hb~/YY ]).,~~ Inspector (Please Prin) Fire Prevention / 1s' In /Shift of Site/Station # Business Site /Responsible Party (Please~rint) White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 Office Hours By Appointment :~., HOUTAN HOSSEINI, D.D.S. ~ ~ 2016 'E' Street ~ Bakersfield, CA 93301 , I ~ ~ _ Telephone: (661) 324-1000 ~~ I ~~ Cosmetic & General Dentistry I j UNIFIED PROGRAM INSPECTION CHECKLIST ~ NSQ ° ~`r Bakersfield Fire Dept. Environmental Services -- -'°'u - 900 Truxtun Ave., Suite 210 SECTION 1 Business Plan and Inventory Program Bakersfield, CA 9330QEC 1 12QQ5 Tel: (661,) 326-3979 _ _ _ _ FACILITY NAME WSPECTION DATE INSPECTION TIME ADDRESS PHONE No. No. of Em I 2®t G C ~~~ S c~ 3z~-f~ FACILITYCONTACT Business ID Number Section 1: Business Plan and Inventory Program ~ ~~ ~ ^ Routine ~nmbined ^ Joint Agency ^hulti-Agency ^ Complaint ^ Re-Inspection C V ~v voaponn~~ OPERATION COMMENTS ~~ h ~sf ~ ^ ^ APPROPRIATE PERMIT ON HAND C, ~tylla~~L,.T +G ~/ OZ\VC./'Z l'~L~I'!~ ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY ^ ^ ~ VERIFICATION OF INVENTORY MATERIALS iw ,Ae.~ r~x~' ^ ^ VERIFICATION OF QUANTITIES S` ~~~ _ ^ ^ .VERIFICATION OF LOCATION C~in~ ~„ ^ ^ PROPER SEGREGATION OF MATERIAL ^ ---- ^ --- VERIFICATION OF MSDS AVAILABILITYE . ...__~ -- --- - - - - - 1 _ ~ ~ ^ ^ .. -.. .___ ....... --- - ---.. ....... ~---------- -- - - - VERIFICATION OF HAT MAT TRAINING ..._......__......_....._........._ _. _ .._. _. .....----. _ ...------ -._._. -..___..... _f -_... ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~~," ^ ^ _... _.. EMERGENCY PROCEDURES ADEQUATE II _ - _.. -- .. . _. _ .--- --- - -- - _..._....__ _ ~~ - ^ ------ ^ --- --- CONTAINERS PROPERLY LABELED ^ ^ HOUSEKEEPING ^ ^. FIRE PROTECTION ~ ^ ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: EXPLAIN: ~~ ~ ~~-- QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~BC)'I~ 326-3979 ~ w~.~S ~~ Inspector (Please Print) Fire Prevention 1st-In/Shift of Site White • Environmental Services Yellow -Station Copy ~ES ^ No sines Site Responsi a Party I ase Pri rn Pink -Business Copy ~~ ~. 1 FACILITY NA / 2~ U~ Section 4: Hazardous Waste Generator g a ^ Routine .Combined ^ Joint Agency ^ Multi-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Hazardous waste determination has been made ~Q,r.t,~ (~-~S Q ~ EPA ID Number Authorized for waste treatment and/or storage Reported release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking ` Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable/reactive waste located at least 50 feet from property line Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal C=Compliance ~ ~V/=Violation Inspector: ~Cd Wr^~~`S Office of Environmental Services (661) 326-3979 White -Env. Svcs. -~p,~~`~ ~T~ " CITY OF BAKERSFIELD FIRE DEPARTMENT ~~ ~ OFFICE OF ENVIRONMENTAL SERVICES ~ •y iJNIFIED PROGRAM INSPECTION CHECKLIS r, .~,~ cAgti ~ 1715 Chester Ave., 3`d Floor, Bakersfield, CA 9330 ME -(-~ur~ Ne~sSd~•~t ~t ~ S _ INSPECTION DATE `-t Pro r m EPA ID # ~( ~ ` ' Business Site Resp sib arty Pink -Business Copy